r/UlcerativeColitis 2d ago

Newsflash newsflash week 27.2026

12 Upvotes

Welcome back to this week's newsflash

  1. Current biomarkers for UC have recognized limitations, prompting the search for novel alternatives. Preliminary evidence shows that REG3α is closely associated with active disease states. Its use alongside existing tests might offer a more accurate picture of inflammation levels, do you want to know more?
  2. Researchers have found that primary sclerosing cholangitis associated with UC shares common immune cell programs during active disease phases. Despite distinct colonic mucosa topography, the shared mast cell state provides new insights. This biological connection could eventually guide more tailored clinical management for affected individuals, do you want to know more?
  3. A retrospective study from a Moroccan tertiary care center evaluated the articular manifestations frequently seen in IBD patients. Peripheral arthropathy is a well recognized complication, with joint involvement ranging from a few large joints to a rheumatoid pattern. Early recognition and timely referral remain essential for reducing morbidity and improving quality of life, do you want to know more?
  4. Navigating summer treats can be challenging when trying to manage IBD symptoms. Carefully monitoring food intake remains a year round necessity to prevent unexpected flare ups during the warmer months. Certain cooling snacks are better tolerated and can safely satisfy cravings without irritating the digestive tract, do you want to know more?
  5. Managing your diet with IBD does not mean you have to skip out on all seasonal enjoyments. Nutrition experts suggest specific summer treats that are gentle on the stomach and align with dietary restrictions. These alternatives provide a safe way to stay refreshed while keeping inflammation at bay, do you want to know more?
  6. A new evaluation published in PubMed explored the role of serum human galectin 3 as a marker of activity in IBD. The study included forty individuals diagnosed with active disease and analyzed their blood samples. Findings indicate that galectin 3 levels correlate with disease severity, suggesting potential use in clinical monitoring, do you want to know more?
  7. Recent Phase 3 data for obefazimod shows a promising remission rate of approximately 51 percent in patients with UC. This oral treatment candidate has demonstrated significant efficacy, prompting strong buy ratings from market analysts. The substantial financial backing ensures further development and potential availability for patients in the coming years, do you want to know more?
  8. Finding fast symptom relief is crucial for biologic naive patients suffering from moderate to severe UC. A recent comparison highlights that treatments like upadacitinib and infliximab offer rapid improvements in clinical symptoms. Choosing the right initial therapy can significantly alter the disease trajectory and improve daily comfort, do you want to know more?
  9. The debate over which treatment wins in providing swift relief for UC continues among gastroenterologists. Evaluating the onset of action between different drug classes helps clinicians tailor their approach to individual patient needs. Rapid induction of remission remains a primary goal to prevent long term complications, do you want to know more?
  10. Experts emphasize that UC treatment should strongly reflect the individual lifestyles and medical histories of patients. Managing the condition often begins in primary care, where early symptoms can be addressed before they escalate. A personalized approach ensures better adherence to medication and overall improved outcomes, do you want to know more?
  11. A one size fits all strategy is increasingly seen as inadequate for managing UC effectively. Healthcare providers are encouraged to consider a patient's daily routine and personal preferences when prescribing therapies. By aligning medical plans with lifestyle factors, patients experience fewer disruptions and better symptom control, do you want to know more?
  12. Recent research in Nature discusses the mechanisms and clinical outcomes linking the HLA DRB1 variant to IBD. This genetic marker provides deep insights into the immune dysregulation underlying the condition. Understanding these pathways may pave the way for highly targeted therapeutic interventions in the future, do you want to know more?
  13. Scientists have developed a bioinspired microcapsule reactor using engineered probiotics for the treatment of IBD. This innovative approach aims to restore gut microbial balance and modulate the complex immune responses driving inflammation. Current therapies often fall short, making such targeted delivery systems a promising alternative, do you want to know more?

That's it for this week. Stay safe.


r/UlcerativeColitis 5d ago

Ask Me Anything (AMA) on Wednesday, July 22: Mayo Clinic expert Dr. Jami Kinnucan will answer your questions on IBD, Crohn’s disease, and ulcerative colitis – join us!

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2 Upvotes

r/UlcerativeColitis 7h ago

Question Smoking Weed

31 Upvotes

Have any of you smoked weed, or been smoking weed, through this UC path? I was a huge stoner before, but I haven’t smoked in months and just ordered delivery of a vape pen to see if it’ll help me feel better. Anyone have experience with weed and UC? Thanks 😊


r/UlcerativeColitis 1h ago

Question Does any one have UC feels like this?

Upvotes

I’m a woman with ulcerative colitis, and even when I’m in remission, I still feel like I get physically tired much faster than other people. For example, if I go out with friends or family, my energy runs out way before everyone else’s. I also feel like my mood shifts more quickly than theirs.

Before I was diagnosed with ulcerative colitis, I wasn’t like this at all.

Has anyone else experienced this? Is it caused by the disease itself, the medications, or something else? I’d really appreciate hearing about other people’s experiences.


r/UlcerativeColitis 2h ago

Personal experience Duel therapy

7 Upvotes

Hello again colitis community! I made a post some months back asking about duel therapy regarding Rinvoq and Infliximab, I just wanted to give an update on my situation in case anyone is in a similar place, I know I had a hard time finding info on this but I believe it may be a good last resort option for many people who haven’t found remission yet.

I’ve been taking 1000mg of Infliximab and 45mg of Rinvoq. After a few months the treatment has put me into remission and I’ve been stable on 30mg Rinvoq with 1000mg of Infliximab monthly. While on this treatment I’ve also been taking sulfameth/trimeth antibiotic to help protect me from pneumonia, which I haven’t gotten thankfully! I also haven’t had any real side effects while on this treatment but I’ve been told I am at pretty extreme risk of infections.

After confirming with my doctor from colonoscopy biopsies that I am in full remission we have decided to try and switch me to a different duel therapy with Tremfya and infliximab, my doctor spoke directly with Johnson and Johnson representatives and other gastroenterologists and they also agreed that it would be a safer option long term. I will update how that goes in a few months and if anyone has been on this combination let me know! I believe duel therapy is going to become much more popular as more research emerges as it’s still a better option than surgery I believe. On a last note, in Canada I can only have one drug paid for so my doctor has had to speak to the manufacturers directly to have the second medication fully covered which I am grateful for but may be an obstacle depending where you live.


r/UlcerativeColitis 3h ago

Question Skyrizi here I come

5 Upvotes

After a 16 days of never-ending calls and messages to my GI, insurance, and local infusion center, I finally scheduled my first loading dose infusion for this Sunday. Hoping to be back here in a few months posting about how Skyrizi gave me my life back. 🙏

At the very least self-injecting at home every 8 weeks (after three loading dose infusions) will be much more convenient than going to the infusion center every 4 weeks for Entyvio infusions, so I’ll enjoy that aspect of it for as long as I’m on this one!

Curious, if you’re in remission on Skyrizi, how long did it take to feel results? My GI told me it can be slow to feel the effects, but I’ve also seen some posts like “I felt better that same day!”


r/UlcerativeColitis 6h ago

Question New relationships

9 Upvotes

howdy. i just got into a relationship with someone, and it truly is going so well. hes very supportive, not judgmental, and just overall a good support system. we knew each other in the throws of my illness, when it was really bad and now im diagnosed and on infliximab (he goes with me to my infusions because he was curious as to what i have to go through. truly what a babe) and he doesnt show any signs of going away just because i am sick, but i think that is still a real fear. i do trust him 100%. my past relationship i was cheated on, and it was in the worst part of my flare so i think im carrying over a little trauma and lived experience. im just scared of my sickness driving him away, or him getting disgusted about it or thinking im gross because of it. his dad is a doctor, and he grew up hearing a lot about the medical industry so he is used to topics like this. but i still have such a big fear of it. he reassures me all the time that it doesnt burden him or make him uncomfortable because i have to do what i have to do. where do we draw the boundary on what is "TMI"? he knows i have the potential to crap myself at any given moment, and he knows all about it and asks questions and researches it. I feel like i found a gem. I guess there is just something that seems too good to be true, but i know that he cares deeply and the intimacy and connection is easy to come to.


r/UlcerativeColitis 12h ago

Celebration Rinvoq - I am smiling after looking again...

23 Upvotes

Was on Stelara and in remission for 5 years.

When it failed, I switched to Rinvoq.

After 3 days, I started seeing improvements. It's now been two weeks and I am once again smiling when looking in the bowl! Well-formed, blood-free BMs! Yessssss!!!

Only we get how GOOD this feels...

PS - no other side-effects for me. Yet. Fingers crossed.


r/UlcerativeColitis 2h ago

Question Newly Diagnosed, any advice?

3 Upvotes

I have recently been diagnosed with UC, but only my descending colon is inflamed, while everything else is fine, and my symptoms appear to be relatively minimal. Mainly bleeding, feeling sort of clogged, and occasionally feeling like I have to take a bowel movement without actually needing to. Thankfully I have no pain, fatigue, or anything similar. I was just prescribed Prednisone and Mesalamine. I was just hoping for any sort of advice for the future.


r/UlcerativeColitis 2h ago

Question Mild UC Diagnosis

2 Upvotes

I was diagnosed with mild UC today. Prescribed mesalamine orally and suppository. I want to treat as holistically as possible while also being realistic. Any tips? Hope? Anything?


r/UlcerativeColitis 3h ago

Question How do you know it’s a flare?

2 Upvotes

I (27F) have been diagnosed with UC for about two years now. I only recently have gotten on Skyrizi and experienced periods of remission. I’m very lucky that my flares are not awful, just lots of GI symptoms. I find myself wondering when I’m having these symptoms if it’s from something else, like a normal stomach ache or upset stomach for a few days. I am just not sure when I should call my GI doc and consider it a flare.

I am wondering if other people have signs that they are in a flare and not suffering from something else?

Thank you for any input!


r/UlcerativeColitis 41m ago

Question Prednisolone Withdrawl?

Upvotes

Hi everyone looking for anyone else who has had a similar experience.

I am recent diagnosed with UC (April) and had an i day hospital stay in May where I was given 60mg IV prednisolone for 5 days. They then gave me azathioprine and infliximab and discharged me on 30mg oral prednisolone. I was told to taper by 5mg over 6 weeks to 0mg. While I was taking the prednisolone I felt fine no terrible side effects no weight gain or bloating and my UC symptoms had completely stopped. About 2 weeks after finishing my course of prednisolone I started getting strange nausea out of nowhere I put it down to stomach irritation from all the meds. However it continued and progressed to other symptoms like dizziness, fast heart rate, sweating, chills, weakness fatigue, feelings of low blood sugar, feelings of panic/anxiety/impeding doom, trembling hands and no appetite. These episodes would come intermittently and I noticed they often happened after eating a meal. But they would ease off. One day it got very bad and didn't ease off and I was waking in the night in a panic feeling terrible. I phoned my GP and he said it could be steroid withdrawl so he put me back on 20mg prednisolone and all the symptoms stopped and I felt back to normal. However I was to taper again and when I tapered to 15mg after about 3 days I started getting the same symptoms again. I got an appointment with GP and while in her office zi was having an episode, sweating high heart rate trembling and high blood pressure. She send me to the hospital where they did ECG (no abnormalities found) they did blood labs and found no abnormalities. While I was there they said my bloods had gone missing so they took more and added thyroid and random cortisol However I was discharged before those results came back and my GP doesnt have them yet. They told me to take 20mg per day with no taper until I can be seen by my gastro team and endocrinology. Back on the 20mg I haven't had any episodes but I have been left feeling awful like a hangover with the shakes, mild nausea and muscle weakness/pins and needles in feet/heavy feeling in body and unstable on my feet.

I wonder if anyone else has had a similar experience after using prednisolone. I cant help but think something else is going on but very frustrating when the labs dont match!

Also to add when I first started feeling the nausea I called my IBD team as I thought it was azathioprine and they told me to stop taking it which I did but have heard nothing from them since. My UC symptoms remain stable through the whole episode but worried being off my azathioprine will compromise my UC.


r/UlcerativeColitis 12h ago

Funny/Meme Plant spiked me

8 Upvotes

I had to take a quick squat poop outside, and I'm so lucky I didn't sit on the plant, but only my hand hit the plant, something called Urticaceae hit me, its very common in Finland


r/UlcerativeColitis 1h ago

Question Newish to UC, symptoms seems different than the posts

Upvotes

So about 1.5 years ago I was diagnosed with UC. I decided it was time to go to the doctor because I constantly was having loose stool/diarrhea and it was happening multiple times a day. When I was first diagnosed they gave me messaline and I was on that for about a year and it honestly did nothing. I had more success with metamucil. About three months ago after my second colonoscopy my doctor decided it was time to switch to Tremfya. Overall I feel like it has been game changing in only two doses (my third IV treatment is this week) where I am only using the restroom once, stools are more solid but still not NORMAL and haven't really had any pains. however when I read the posts here it seems like everyone's symptoms are way way worse than I ever was even on meds. Am I just lucky or is loose stool/going 3-4 times a day (without many instances of pain) normal of UC and the more 'intense' symptoms are less common?


r/UlcerativeColitis 1h ago

Question Failed infliximab while taking wegovy

Upvotes

Looking for folks who might have had a similar situation. I was in total, microscopic remission on Inflectra for well over 5 years. I started Wegovy in February of this year and only had mild side effects, specifically constipation. After moving up to the higher dose I realized I was flaring and not bleeding from hemorrhoids. I stopped the shot 3 weeks ago. I had a sigmoidoscopy this morning and they found severe left-sided colitis. I was told the Inflectra failed and I’m being switched to Entyvio.

I’m curious if this is just coincidental timing or if the wegovy could have played a part in my flare up. Thoughts welcome!


r/UlcerativeColitis 1h ago

Question How long does Mesazaline take to work?

Upvotes

I have what my doctor's believe to be UC, they don't want to diagnose me immediately because it is a lifelong, life changing and potentially debilitating disease (What they have said to me) I have been on Mesalazine for 18 months, two oral granule packets and one suppository a day.

Due to a mess up at my GP, I have been without my oral granules for a week, (8 days exactly), and whilst there has been some changes to my bowel movements it was mainly fine until today really (some flare up issues started yesterday with loose stool) of where i have had to go multiple times a day, with loose stool and blood, barely able to walk the block before needing to go. Luckily my medication is back today so the first day I have been able to have a full dose.

Is there any timeline of when I am meant to feel better? I am meant to be going to my brother's stag do tomorrow evening until Sunday, will I be well enough to travel tomorrow and Friday?
At what point do I need to call the hospital/gastroencology helpline with my symptoms? Do I call immediately when showing a flare up like this or do I wait to see if it settles now with my medication?

Whilst I have had bouts of constipation during my medication (once) this is the first time since when they started testing and treating me in 2024 did I start having symptoms like these so I am a bit worried about some things:
Short term- missing my brothers stag do
Long term- Damage to my intestines and body, potentially needing surgery or a stoma.

I probably should research this condition but as I have said my doctor has not officially diagnosed me so I have not actually received any treatment or anything like my brother did when he got diagnosed with Crohn's.


r/UlcerativeColitis 8h ago

Question Does it make sense to use JAK inhibitors already?

3 Upvotes

I got diagnosed with mild to moderate pancolitis about 10 days ago.

Symptoms are mild, and there’s no blood.

I’ve been using mesalamine for the last 10 days and though it hasn’t seem to make much progress, I think it has started to, kind of.

My GI is pushing me to start using tofacitinib along with mesalamine going forward. And I am worried about the long list of side effects that it has.

Should I take a second opinion? Or is it standard process?


r/UlcerativeColitis 3h ago

Question Trempfya

1 Upvotes

Getting my first Trempfya injection tomorrow. I was on remicaide and then inflectra for 10 years. I was in full remission two years ago when I had a colonoscopy and then it stopped working and doc thinks I just built up antibodies I’ve been in a flair since February of this year. Also I’ve been taking prednisone since April (40mg then 30mg) right now on 20mg just because I don’t wanna up my dose Hoping to hear some positives about this drug! The struggle has been real and I just want to feel good again.


r/UlcerativeColitis 3h ago

Question Semi-recently diagnosed and confused af about symptoms

1 Upvotes

Hey all-

Sorry this is going to be a fairly long post, and sorry if it is confusing, but bear with me! Looking for some advice/anecdotes/opinions as no one in my family or friends has this and I am just quite confused and frustrated.

So. I was diagnosed with Ulcerative Proctitis with a Cecal Patch back in Nov of 2025 after going into the doctor because of prolonged rectal bleeding. I had been bleeding since like June of 2025, but had really no pain at all, just blood and highly frequent bms. After my testings and diagnosis, I was put on 2 pills/day Mesalamine and off I went.

FF to now- since the end of April, I have been having symptoms such as squeezing cramps in all quadrants of my abdomen, and burning feeling. It started with a semi painful 4 day stretch at the end of April, but then came and went through May and was more annoying than painful. No weird bms or blood have occured. In June, I started to make sure I was tracking how I was feeling every single day, as I knew I had a doctor check in coming up, and I was starting to experience symptoms more consistently every day. I was having burning in multiple quadrants of my abdomen off and on throughout the day, and then I would have intermittent squeezing cramps. I have had very poor appetite, and have been consistently constipated pretty much the entire month of June, and up to now still.

When I went to my check up, I was trying to describe these symptoms to my GI doctor and I was having the hardest time trying to explain to her how I was feeling, because it isn't necessarily painful , and I don't want to overstate and have things I don't need done. It is more annoying feeling than anything and it is fairly constant, but it doesn't like hurt?? So IDK if I am just used to it and that is why I don't think it is painful, but to me pain feels like too strong of a word?

Since my appointment, I did a fecal and blood test and my inflammation numbers were all basically normal- that is a big reason why I am so confused. When I was first diagnosed, I do not remember feeling this type of burning or cramping at all and my markers were so much significantly higher and "abnormal". I only have just started feeling the cramping and burning at the end of April, and these recent test results don't seem to align with my symptoms I have been experiencing. Since my doctor visit, I have been put on 4 pills/daily of Mesalamine with follow up in approx a month (I am ~5 weeks post this appointment rn, next one coming up the second week of August). My symptoms are still the same, I don't really feel like I have gotten better on this new dosage yet, (frequent constipation, low appetite, burning, intermittent cramping - but mostly burning). It seems the most common area of burning is the lower right quadrant of my abdomen, with the occasional upper abdomen across my belly. I am so confused by these symptoms, and with all my researching I don't see constipation really being a UC thing at all, or burning come up in that area of the abdomen that much. It is my right side that is having the most discomfort, with the left basically having not much issue.

So, TLDR: my questions I guess are-

Do any of you experience burning concentrated to the lower right of the abdomen?

When your medication was changed, how long did you have to be taking to notice any symptom improvement?

How do you describe your symptoms to your GI doc and not get too bogged down with trying to be 100% accurate/exact on how you feel? I get anxious saying it "hurts" when it doesn't necessarily feel painful, just constant and dull ache most of the time, but not debilitating. I just don't feel I have the proper language to describe these feelings and it is making communication feel really difficult and it is making me really frustrated.

Have you ever been feeling like total buns but your tests have been not indicative to your symptoms at all?

Thank you for reading and advice!


r/UlcerativeColitis 23h ago

Question Nausea

32 Upvotes

Does anyone else have the issues of dealing with feeling nauseous or actually throwing up when you're on the toilet?

Sometimes I just get that watery mouth feeling but today I actually threw up some.

This is so draining already...add the other aspect to it? Exhausting! 😞😭


r/UlcerativeColitis 9h ago

Question Can ulcerative colitis skip healthy tissue and continue?

2 Upvotes

I 20f was diagnosed with ulcerative colitis at the beginning of June. My gastroenterologist also scheduled an MRI for early August to rule out the possibility of Crohn’s disease. After my colonoscopy, the doctor seemed confident that it was ulcerative colitis, so I felt reassured.

However, I recently read my colonoscopy report, and now I’m confused. I was under the impression that ulcerative colitis causes continuous inflammation that starts in one area and spreads without healthy tissue in between. But my report seems to describe something different.

It says there is Mayo 2 inflammation from the entrance to about 45 cm. After that, my transverse colon appears healthy and unaffected, but then there is more Mayo 2 inflammation and ulceration on the right side of my colon.

I know I’ll hopefully have more definitive answers after my MRI, but I’m honestly starting to worry. I had finally come to terms with my UC diagnosis, and it didn’t really occur to me that it could still be Crohn’s disease.

Is Crohn’s generally considered much worse than ulcerative colitis? And is it possible to have ulcerative colitis with areas of healthy tissue separating inflamed sections, or does that pattern usually point more toward Crohn’s? I’m new to this whole thing lol.


r/UlcerativeColitis 10h ago

Question Rinvoq & Mesalamine

2 Upvotes

So apparantly had a follow up with my doc after taking rinvoq 45mg for a month. And n absolute shocker was that he reduced my mesalamine to 2gm from 4g. N he says we can try to put you off mesalamine and only give you rinvoq. So the question is, is this the case with everyone having rinvoq?


r/UlcerativeColitis 7h ago

Question Will my doctor let me change my meds even with good labs?

1 Upvotes

I have an GI appointment coming up at the end of the month and had to do my routine blood and stool test work. To my surprise everything came back in the green, I’ve been on mesalamine and suppositories since I was diagnosed. I feel like my meds are working but only for the surface level symptoms. Yes it stops the blood and mucus and yes it lowers to amount of times I go a day. But I still get the inflammation and pain in my hands and feet. I still get acid reflux and I still get cramping.

When I was first diagnosed and put on mesalamine it wasn’t working but my GI said “let’s try it for 3 more months” and my levels did improve. So I’m worried that now 6 months later if I mention wanting to switch when my levels have only been getting better I won’t be heard properly. Has anyone else had this experience and if you have what did you say to advocate the difference between being able to tolerate the symptoms and actually wanting them
gone.


r/UlcerativeColitis 7h ago

Question UC and AS combination

1 Upvotes

As the title states I was wondering if any of you here had an Ankylosing spondylitis diagnosis before being diagnosed with Ulcerative colitis and did it make your diagnosis process harder ?

I’m at a point where I feel very unwell but also close to giving up on trying to get help as my pain is being brushed off as lower back pain or musculoskeletal due to me having muscle knotting near my scoliosis curve (which is always there one side due to how my body adapted to the curve)

I’ve written and explained clearly all my symptoms but just not being heard due to fact that it’s easier to blame all my pain on an already diagnosed condition.

What more can I do ?


r/UlcerativeColitis 8h ago

Question How long do you wait between a meal and bed time?

0 Upvotes

I've been struggling with my flares and just noticed I'm probably eating too close to bed time (usually 1h or less). How long should I wait?

I saw online between 2 and 3h (3 being the best) but won't I get hungry again by then?